ATS
HOME HELP FEEDBACK SUBSCRIPTIONS ARCHIVE SEARCH TABLE OF CONTENTS
QUICK SEARCH:   [advanced]


     

This Article
Right arrow Alert me when this article is cited
Right arrow Alert me if a correction is posted
Services
Right arrow Email this article to a friend
Right arrow Similar articles in this journal
Right arrow Similar articles in PubMed
Right arrow Alert me to new issues of the journal
Right arrow Add to Personal Folders
Right arrow Download to citation manager
Right arrow Permission Requests
Citing Articles
Right arrow Citing Articles via HighWire
Right arrow Citing Articles via Google Scholar
Google Scholar
Right arrow Articles by Kelly, J. P.
Right arrow Articles by Roper, C. L.
Right arrow Search for Related Content
PubMed
Right arrow PubMed Citation
Right arrow Articles by Kelly, J. P.
Right arrow Articles by Roper, C. L.

The Annals of Thoracic Surgery, Vol 36, 634-643, Copyright © 1983 by The Society of Thoracic Surgeons

ARTICLES

Esophageal replacement with colon in children: functional results and long-term growth

JP Kelly, GD Shackelford and CL Roper

Twenty-three children consecutively undergoing colon interposition for esophageal replacement were evaluated with barium swallows, clinical interviews, and questionnaires. Fourteen patients underwent colon interposition because of caustic burns of the esophagus only or of the hypopharynx and esophagus. Nine children had long-segment esophageal atresia or esophageal atresia with tracheoesophageal fistula and are included in our operative group. The mean follow-up was 12.8 years for all patients. Strictures, leaks, and colon ischemia at the proximal anastomosis represent the major morbidity for the operative procedure. Analysis of growth charts reveals that patients who ingest lye tend to remain in the 50th percentile after colon transplant, while patients with esophageal atresia or tracheoesophageal fistula who had been in the 12th percentile preoperatively improved to the 33rd percentile after successful transplantation. Radiographic examinations, functional results, and growth curves demonstrated excellent results in 20 patients. Although the choice of a conduit for esophageal replacement is controversial, the surgeon can expect good long-term function and growth with the use of colon in children.


This article has been cited by other articles:


Home page
 Am. J. Roentgenol.Home page
D. X. Li, M. S. Levine, S. E. Rubesin, and I. Laufer
Nonanastomotic Strictures After Colonic Interposition
Am. J. Roentgenol., July 1, 2007; 189(1): 30 - 34.
[Abstract] [Full Text] [PDF]

Home page
 Ann. Thorac. Surg.Home page
O. Genc, R. K. Knight, A. G. Nicholson, and P. Goldstraw
Adenocarcinoma arising in a retained esophageal remnant
Ann. Thorac. Surg., December 1, 2001; 72(6): 2117 - 2119.
[Abstract] [Full Text] [PDF]

Home page
 Ann. Thorac. Surg.Home page
B. Dreuw, J. Fass, S. Titkova, M. Anurov, M. Polivoda, A. P. Ottinger, and V. Schumpelick
Colon interposition for esophageal replacement: isoperistaltic or antiperistaltic? Experimental results
Ann. Thorac. Surg., January 1, 2001; 71(1): 303 - 308.
[Abstract] [Full Text] [PDF]

Home page
 Ann. Thorac. Surg.Home page
L. Bonavina, B. Chella, A. Segalin, and S. Luzzani
Surgical Treatment of the Redundant Interposed Colon After Retrosternal Esophagoplasty
Ann. Thorac. Surg., May 1, 1998; 65(5): 1446 - 1448.
[Abstract] [Full Text] [PDF]


HOME HELP FEEDBACK SUBSCRIPTIONS ARCHIVE SEARCH TABLE OF CONTENTS
ANN THORAC SURG ASIAN CARDIOVASC THORAC ANN EUR J CARDIOTHORAC SURG
J THORAC CARDIOVASC SURG ICVTS ALL CTSNet JOURNALS
Copyright © 1983 by The Society of Thoracic Surgeons.